Early Detection & Prompt Treatment (EDPT)
Identification Of High Risk Area
During the year 1995, the state experienced major malaria outbreaks especially in tribal districts of the state more prominently in Thane, Dhule, Nasik, Yeotmal, Chandrapur & Gadchiroli. Every year High Risk PHCs & Sub Centers are being identified as per guidelines given by Government of India (GOI). following are the epidemiological parameters for identification of High risk area.
Recorded deaths due to malaria with Plasmodium falciparum (Pf) infection during transmission season with evidence of local infection in an endemic area in any of the last 3 years.
Doubling of slide positivity rate (SPR) during last three years provided the SPR of 2nd & 3rd year reaches 4% or more.
SPR does not show doubling trend but the average SPR of the last 3 years is 5% or more.
P. falciparum proportion is 30% or more provided SPR is 3% or more during any of the last three years.
Focus of Chloroquine resistant P. falciparum area.
Tropical aggregation of labour in Project area.
New Settlement in endemic/respective & vulnerable area.
Blood smear collection of fever cases through regular house to house visits of multipurpose workers.
Blood smears collection of fever cases coming at Primary Health Centers, rural & cottage hospitals, District Hospitals, & all govt. medical institutions etc.
Contact Mass Nomad (CMN)– Contact
Blood smears collection irrespective of fever of all family members of malaria positive case.
Blood smears collection irrespective of fever of all families around malaria positive case.
Blood smears collection irrespective of fever of all persons of nomadic tribes.
Age group wise Presumptive treatment with Chloroquine is given to all fever cases at during active, passive, CMN collection
|Age groups||Chloroquine Tablets (150 mg. base)|
|Below 1 year||75 mg. (1/2 tablet)|
|1 to 4 years||150 mg. (1 tablet)|
|5 to 8 years||300 mg. (2 tablets)|
|9 to 14 years||450 mg. (3 tablets)|
|Above 15 years||600 mg. (4 tablets)|
Blood smears collected are examined in field & district level laboratories. On examination, one day radical treatment is given to Plasmodium falciparum (pf) cases detected and 5 days radical treatment to Plasmodium Vivax (Pv) cases detected as per the age group given below.
|Age groups||Radical Treatment|
|1st day||2– 5 days||1st day|
|Chloroquine (mg)||Primaquine (mg)||Primaquine (mg)||Chloroquine (mg)||Primaquine (mg)|
|Below 1 year||75||–||–||75||–|
|1 to 4 years||150||2.5||2.5||150||7.5|
|5 to 8 yearS||300||5.0||5.0||300||15|
|9 to 14 years||450||10.0||10.0||450||30|
|Above 15 years||600||15.0||15.0||600||45|
N.B.: No radical treatment of Primaquine tablets is given to infants and Pregnant women.